What Evidence Do Payers Need?
Authors: Luce, B; Cohen, RS.
Publication: June 28, 2009
This report is a summary of a panel discussion about the types of evidence health care stakeholders need and use when making policy decisions, their efforts to improve the health outcomes of the policy decisions they make, and overarching issues and/or barriers that may exist that prevent the development or implementation of such evidence.
The discussion, which took place during NPC's November 2008 Annual Forum, was moderated by Dr. Bryan Luce of United BioSource Corporation and featured the following panelists:
- Brian Sweet, BS Pharm, MBA, Chief Pharmacy Officer, WellPoint
- Tamara Syrek Jensen, Deputy Director for the Coverage and Analysis Group at the Centers for Medicare and Medicaid Services (CMS)
- Alberto Colombi, MD, MPH, Corporate Medical Director, PPG Industries
The panelists represented crucial stakeholders integrally involved as “consumers” of evidence, including the private sector, public sector, and an employer, respectively. This session summary document reviews the evidence-based themes of all of the presentations and discusses relevant policy issues.